| NPI | 1902194533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A13529) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014407) |
| 207R00000X Internal Medicine (Licence: PA OT014407) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2021-10-05 |